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PDA Assessment - Summary
 Armenia CO - January 2008
PDA Assessment - Summary
                    Armenia CO – January 2008


Objectives for Armenia CO:

     Conduct an assessment for the potential of mobile data
collection technology using Personal Digital Assistants (PDA’s)

     Provide training in use of the hardware and software and
evaluate with in-field visit.

Provide data management recommendations
PDA Project - Summary


                       Armenia CO Activities
Week One

  Yerevan Office –
      Hardware and software training for Project Officers, M&E
       and IT personnel

       Field testing of NOVA/CSHF QIT and Followup Visit PDA
       forms in Saravan and Vayk of Vayotz Dzor Marz.

Week Two


  Yerevan Office –
   •   Final training and activity review
Yerevan Training
Yerevan Training
Yerevan Training
NOVA - Community Involvement in Health Care Services
                                                   Continuous Self- Assessment Form



                                                                         COMMUNITY INVOLVEMENT IN HEALTH CARE SERVICES
                                                                                            Continuous Self- Assessment Form
Marz:
Name of Community:
Date:                                                       Answer key: 2=yes ; 1=yes, but sometimes, needs improvement; 0=no

                                                            Measurable/Observable Sub-Indicators For Evaluation                                                            Baseline   Mid-term   Follow-up
                                                                       Accessibility
Provider conducts home visits for postpartum care       1 Do providers conduct postpartum home visits?
                                                        2 Do physicians visit the community once per month or more?
                                                        3   Does the community members aware about physicians visits?
Physician visits community once per month or
                                                        4   Do physicians take time to see patients in the clinic?
more
                                                        5   Do physicians record visits to FAPs at the village mayor office?
                                                        6   Do physicians do home visits?
                                                        7 Do village mayors have transport available in case of an emergency of a communtiy member?
Community has an emergency transport
                                                        8 Does the community members know that emergency transportation is available if required?
                                                        9 Are the working hours are explicitly announced or posted at FAP?
Facility is open and available during working hours
                                                       10 Is FAP open and available during official hours?
                                                       11 Is the community aware of the free services offered?
                                                       12 Are information materials describing free servicesavailable at FAP?
Community is aware of free services offered
                                                            Do providers inform clients of their rights to free pregnancy care (visits, lab tests, ultrasound, delivery)
                                                       13
                                                            n the first visit by signing individual medical forms
Dimension Score
                                                       Community-Provider Relations Dimension
                                                       14
                                                            Do providers conduct health talks on the following subjects: STD/HIV/AIDS; FP; pregnancy care;
Provider conducts health talks                              Immunization; common childhood illnesses, including diarrhea, ARI, fever
                                                       15 Do providers prepare for health talks (inform community, prepare agenda, organise location)?
Provider is informed about the community he or              Do providers know the socio-economic status of the community? (average incomes, numbers at-risk
                                                       16
she serves                                                  individuals, population considered officially vulnerable and able to get free services)
                                                       17
                                                            Do providers discuss client care with family members and others only according to client wishes?
                                                       18 Are client records kept secure and away from public access?
All patient visits are private and confidential        19 Do clients believe that what they say will be kept private?
                                                            Do facilities have private space so that counseling sessions, physical exams, and procedures cannot be
                                                       20
                                                            observed or overheard?
                                                       21   Do providers inform clients of their rights to privacy and confidentiality?
                                                            Do all providers treat clients respectfully, including: greeting clients politely by name, asking clients'
Doctors follow basic counseling skill protocols             questions about how they feel and listening attentively, ensuring clients understand the information
                                                       22
with clients                                                provided by asking follow up questions, making sure that clients understand their rights to free
                                                            services, privacy and confidentiality, etc.
                                                       23   Do providers regularly communicate with community leaders and members?
Village mayor supports activities of health facility   24   Does the local authorities (mayors) support the facility financially or in kind?
Continuous Self- Assessment Form
Continuous Self- Assessment Form




                 Drop-down Lookup
                 Lists reduce typing and
                 ensure data accuracy
Continuous Self- Assessment Form
Continuous Self- Assessment Form
Continuous Self- Assessment Form
Continuous Self- Assessment Form
Community Self-Help Fund Program
                               Follow up Monitoring Report Form


                                       Follow-up Visit Form
GENERAL INFORMATION:
Project Officer/Mobilizer _____________________________
Marz____________________________
Network ________________________
Community ________________________
Date of visit_______________________

CONDITION OF FACILITY:
I. Health facility upgraded/renovated __________
II. New facility established (temporary building/domik) _______
III. Electricity_______
IV. Water
Running water______
Tank water______
V. Heating system_______ (please describe) _______________
VI. General condition of FAP:
Floor: good ___ fair___poor___
Roof: good ___ fair___poor___
Windows: good ___ fair___poor___
Maintenance: good ___ fair___poor___
________________________________________________________________________________________
       ____________________________________________________________________________________
       ________________________________________________________________________________
Followup Visit Form
Followup Visit Form
Followup Visit Form
Followup Visit Form
Followup Visit Form
Followup Visit Form
Followup Visit Form
Followup Visit Form




exitscreen:
if answer == Y then
show [RW]
show [TW]
goto [RW]
else
goto [HS]
endif
Followup Visit Form
Followup Visit Form
Followup Visit Form
Followup Visit Form
Followup Visit Form
Vayots Dzor Field Testing - Saravan
Saravan
Vayk
Vayots Dzor Field Testing - Vayk
Vayots Dzor Field Testing - Vayk
Vayk
Vayk
Vayk
Noravank
Collected Data
                                                  Continuous Self- Assessment Form


                                                          Do
                     Facility                             Providers
                     Has                                  Suggest
                     Education                            That                    Does
Do         Do        al          Are         Are IEC      Clients     Facility    Facility    Does
Facilities Providers Materials   Education   Materials    Take        Has         Receive     Received
Have       Maintain Available    al          Nicely       Education   Regular     Essential   Medicine               Community
Windows The          For         Materials   Displayed    al          Inventory   Medicine    Cover All              Provider
That       Facility  Clients     Available   In An Area   Materials   Of          On A        Needs Of Accessibility Relation  Environment Total
Open And Appropria And           At The      Visible To   On The      Essential   Regular     Populatio Dimension Dimmension Dimension     Dimension
Close      tely      Protocols   FAP         Clients      Way Out     Medicine    Basis       n         Score        Score     Score       Score

        2         2                      2           2            2                       2          0         21          28           20        69
        2         2                      2           2            2                       1          1         15          23           22        60
        2         2                      2           2            2                       2          1         21          23           23        67
        2         2                      2           2            2                       2          1         16          17           22        55

                                                                                                                0           0            0         0
        2         2                      2           2            2                       2          2         21          22           24        67
Collected Data
                                                   Follow up Monitoring Report Form


                                                                                                                        Health
                                                                                                                        Facility                              Do You
                            General     Project Officer                          Communi                    Condition Upgraded New Facility                   Have RunningW
UserName TimeStamp          Information Mobilizer            Marz      Network   ty      Date1              Of Facility Repaired Established      Electricity Water ater
                                                                                                                                 Provided area/
SC_0015    1/18/2008 0:15                Sofik Minasyan      Vayots Dzor ayk
                                                                       V         Saravan   1/18/2008 0:00                        renovated
                                                                                                                                 Provided area/
SC_0018   1/18/2008 14:56                Guram Matiashvili   Vayots Dzor ayk
                                                                       V                   1/18/2008 0:00               Y        renovated        Y        Y      Y
                                                                                                                                 Provided area/
SC_0018   1/18/2008 14:53                Guram Matiashvili   Vayots Dzor ayk
                                                                       V                   1/18/2008 0:00               Y        renovated        Y
SC_0018   1/18/2008 12:23                Guram Matiashvili   Vayots Dzor ayk
                                                                       V         Saravan   1/18/2008 0:00               Y                         Y        Y      Y
                                                                                                                                 Provided area/
SC_0007   1/18/2008 14:57                                    Vayots Dzor ayk
                                                                       V                   1/18/2008 0:00               Y        renovated        Y        Y      Y
                                                                                                                                 Provided area/
SC_0007   1/18/2008 12:24                                                                  1/18/2008 0:00               Y        renovated        Y        Y      Y
SC_0010   1/18/2008 12:35                Nune Soghomonyan Vayots Dzor ayk
                                                                    V            Saravan   1/18/2008 0:00
                                                                                                                                 Provided area/
SC_0010   1/18/2008 12:27                Nune Soghomonyan Vayots Dzor ayk
                                                                    V            Saravan   1/18/2008 0:00                        renovated      Y          Y      Y
Field Test Feedback

Language issue
   Restricts PDA use by user

Keyboard (large or small)/ input methods
   Learning curve will improve
   Coding of qualitative answers
   Copy & paste technique

PDA’s accepted by respondents
   Better interviewer-to-respondent positioning
   Easily engaged than paper forms
   Quick, easy (excepting input method)

Average 14% power usage over 2.3 hour use
   portable battery pack not needed
Recommendations


Conduct a PDA pilot in parallel with paper-based survey

   M&E indicators => database design => PDA form design

Procure licensed copy of software and 1 additional PDA

Continue to develop centralized data management strategy

Evaluate GIS value – purchase licensed copy of Arc GIS w/
Spatial Analyst extension

Gradually extend PDA data collection to additional program(s)
that exhibit high paper usage and transcription costs)

Increase value by sharing with NOVA and other partners

Further comments….
Qty    Item Description                       Price
   1   PDA (Ipaq 110)                            $255.00
   1   2 gigabyte memory card (SDC)               $42.00
   1   mobile battery packs                       $98.00
    Pendragon Forms software & 1 license
  1 @ $54 ea. *                                 $330.00
                                     Total:     $725.00
    * Pendragon Forms software contains
    one PDA license
Comments…

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Armenia June 2008 PDA Assessment for Save the Children USA

  • 1. PDA Assessment - Summary Armenia CO - January 2008
  • 2. PDA Assessment - Summary Armenia CO – January 2008 Objectives for Armenia CO: Conduct an assessment for the potential of mobile data collection technology using Personal Digital Assistants (PDA’s) Provide training in use of the hardware and software and evaluate with in-field visit. Provide data management recommendations
  • 3. PDA Project - Summary Armenia CO Activities Week One Yerevan Office –  Hardware and software training for Project Officers, M&E and IT personnel Field testing of NOVA/CSHF QIT and Followup Visit PDA forms in Saravan and Vayk of Vayotz Dzor Marz. Week Two Yerevan Office – • Final training and activity review
  • 7. NOVA - Community Involvement in Health Care Services Continuous Self- Assessment Form COMMUNITY INVOLVEMENT IN HEALTH CARE SERVICES Continuous Self- Assessment Form Marz: Name of Community: Date: Answer key: 2=yes ; 1=yes, but sometimes, needs improvement; 0=no Measurable/Observable Sub-Indicators For Evaluation Baseline Mid-term Follow-up Accessibility Provider conducts home visits for postpartum care 1 Do providers conduct postpartum home visits? 2 Do physicians visit the community once per month or more? 3 Does the community members aware about physicians visits? Physician visits community once per month or 4 Do physicians take time to see patients in the clinic? more 5 Do physicians record visits to FAPs at the village mayor office? 6 Do physicians do home visits? 7 Do village mayors have transport available in case of an emergency of a communtiy member? Community has an emergency transport 8 Does the community members know that emergency transportation is available if required? 9 Are the working hours are explicitly announced or posted at FAP? Facility is open and available during working hours 10 Is FAP open and available during official hours? 11 Is the community aware of the free services offered? 12 Are information materials describing free servicesavailable at FAP? Community is aware of free services offered Do providers inform clients of their rights to free pregnancy care (visits, lab tests, ultrasound, delivery) 13 n the first visit by signing individual medical forms Dimension Score Community-Provider Relations Dimension 14 Do providers conduct health talks on the following subjects: STD/HIV/AIDS; FP; pregnancy care; Provider conducts health talks Immunization; common childhood illnesses, including diarrhea, ARI, fever 15 Do providers prepare for health talks (inform community, prepare agenda, organise location)? Provider is informed about the community he or Do providers know the socio-economic status of the community? (average incomes, numbers at-risk 16 she serves individuals, population considered officially vulnerable and able to get free services) 17 Do providers discuss client care with family members and others only according to client wishes? 18 Are client records kept secure and away from public access? All patient visits are private and confidential 19 Do clients believe that what they say will be kept private? Do facilities have private space so that counseling sessions, physical exams, and procedures cannot be 20 observed or overheard? 21 Do providers inform clients of their rights to privacy and confidentiality? Do all providers treat clients respectfully, including: greeting clients politely by name, asking clients' Doctors follow basic counseling skill protocols questions about how they feel and listening attentively, ensuring clients understand the information 22 with clients provided by asking follow up questions, making sure that clients understand their rights to free services, privacy and confidentiality, etc. 23 Do providers regularly communicate with community leaders and members? Village mayor supports activities of health facility 24 Does the local authorities (mayors) support the facility financially or in kind?
  • 9. Continuous Self- Assessment Form Drop-down Lookup Lists reduce typing and ensure data accuracy
  • 14. Community Self-Help Fund Program Follow up Monitoring Report Form Follow-up Visit Form GENERAL INFORMATION: Project Officer/Mobilizer _____________________________ Marz____________________________ Network ________________________ Community ________________________ Date of visit_______________________ CONDITION OF FACILITY: I. Health facility upgraded/renovated __________ II. New facility established (temporary building/domik) _______ III. Electricity_______ IV. Water Running water______ Tank water______ V. Heating system_______ (please describe) _______________ VI. General condition of FAP: Floor: good ___ fair___poor___ Roof: good ___ fair___poor___ Windows: good ___ fair___poor___ Maintenance: good ___ fair___poor___ ________________________________________________________________________________________ ____________________________________________________________________________________ ________________________________________________________________________________
  • 22. Followup Visit Form exitscreen: if answer == Y then show [RW] show [TW] goto [RW] else goto [HS] endif
  • 28. Vayots Dzor Field Testing - Saravan
  • 30. Vayk
  • 31. Vayots Dzor Field Testing - Vayk
  • 32. Vayots Dzor Field Testing - Vayk
  • 33. Vayk
  • 34. Vayk
  • 35. Vayk
  • 37. Collected Data Continuous Self- Assessment Form Do Facility Providers Has Suggest Education That Does Do Do al Are Are IEC Clients Facility Facility Does Facilities Providers Materials Education Materials Take Has Receive Received Have Maintain Available al Nicely Education Regular Essential Medicine Community Windows The For Materials Displayed al Inventory Medicine Cover All Provider That Facility Clients Available In An Area Materials Of On A Needs Of Accessibility Relation Environment Total Open And Appropria And At The Visible To On The Essential Regular Populatio Dimension Dimmension Dimension Dimension Close tely Protocols FAP Clients Way Out Medicine Basis n Score Score Score Score 2 2 2 2 2 2 0 21 28 20 69 2 2 2 2 2 1 1 15 23 22 60 2 2 2 2 2 2 1 21 23 23 67 2 2 2 2 2 2 1 16 17 22 55 0 0 0 0 2 2 2 2 2 2 2 21 22 24 67
  • 38. Collected Data Follow up Monitoring Report Form Health Facility Do You General Project Officer Communi Condition Upgraded New Facility Have RunningW UserName TimeStamp Information Mobilizer Marz Network ty Date1 Of Facility Repaired Established Electricity Water ater Provided area/ SC_0015 1/18/2008 0:15 Sofik Minasyan Vayots Dzor ayk V Saravan 1/18/2008 0:00 renovated Provided area/ SC_0018 1/18/2008 14:56 Guram Matiashvili Vayots Dzor ayk V 1/18/2008 0:00 Y renovated Y Y Y Provided area/ SC_0018 1/18/2008 14:53 Guram Matiashvili Vayots Dzor ayk V 1/18/2008 0:00 Y renovated Y SC_0018 1/18/2008 12:23 Guram Matiashvili Vayots Dzor ayk V Saravan 1/18/2008 0:00 Y Y Y Y Provided area/ SC_0007 1/18/2008 14:57 Vayots Dzor ayk V 1/18/2008 0:00 Y renovated Y Y Y Provided area/ SC_0007 1/18/2008 12:24 1/18/2008 0:00 Y renovated Y Y Y SC_0010 1/18/2008 12:35 Nune Soghomonyan Vayots Dzor ayk V Saravan 1/18/2008 0:00 Provided area/ SC_0010 1/18/2008 12:27 Nune Soghomonyan Vayots Dzor ayk V Saravan 1/18/2008 0:00 renovated Y Y Y
  • 39. Field Test Feedback Language issue Restricts PDA use by user Keyboard (large or small)/ input methods Learning curve will improve Coding of qualitative answers Copy & paste technique PDA’s accepted by respondents Better interviewer-to-respondent positioning Easily engaged than paper forms Quick, easy (excepting input method) Average 14% power usage over 2.3 hour use portable battery pack not needed
  • 40. Recommendations Conduct a PDA pilot in parallel with paper-based survey M&E indicators => database design => PDA form design Procure licensed copy of software and 1 additional PDA Continue to develop centralized data management strategy Evaluate GIS value – purchase licensed copy of Arc GIS w/ Spatial Analyst extension Gradually extend PDA data collection to additional program(s) that exhibit high paper usage and transcription costs) Increase value by sharing with NOVA and other partners Further comments….
  • 41. Qty Item Description Price 1 PDA (Ipaq 110) $255.00 1 2 gigabyte memory card (SDC) $42.00 1 mobile battery packs $98.00 Pendragon Forms software & 1 license 1 @ $54 ea. * $330.00 Total: $725.00 * Pendragon Forms software contains one PDA license